Individual
DAVID N FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
23264 TWO RIVERS RD, BASALT, CO 81621
(970) 927-3776
(970) 927-9015
Mailing address
23264 TWO RIVERS RD, BASALT, CO 81621
(970) 927-3776
(970) 927-9015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7080
CO
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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